Outcomes of lumen apposing metal stent placement in patients with surgically altered anatomy : multicenter international experience

dc.contributor.authorMangiavillano, Benedetto
dc.contributor.authorRamai, Daryl
dc.contributor.authorKahaleh, Michel
dc.contributor.authorTyberg, Amy
dc.contributor.authorShahid, Haroon
dc.contributor.authorSarkar, Avik
dc.contributor.authorSamanta, Jayanta
dc.contributor.authorDhar, Jahnvi
dc.contributor.authorBronswijk, Michiel
dc.contributor.authorVan der Merwe, Schalk
dc.contributor.authorKouanda, Abdul
dc.contributor.authorJi, Hyun
dc.contributor.authorDai, Sun-Chuan
dc.contributor.authorDeprez, Pierre
dc.contributor.authorVargas-Madrigal, Jorge
dc.contributor.authorVanella, Giuseppe
dc.contributor.authorLeone, Roberto
dc.contributor.authorArcidiacono, Paolo Giorgio
dc.contributor.authorRobles-Medranda, Carlos
dc.contributor.authorVasquez, Juan Alcivar
dc.contributor.authorArevalo-Mora, Martha
dc.contributor.authorFugazza, Alessandro
dc.contributor.authorKo, Christopher
dc.contributor.authorMorris, John
dc.contributor.authorLisotti, Andrea
dc.contributor.authorFusaroli, Pietro
dc.contributor.authorDhaliwal, Amaninder
dc.contributor.authorMutignani, Massimiliano
dc.contributor.authorForti, Edoardo
dc.contributor.authorCottone, Irene
dc.contributor.authorLarghi, Alberto
dc.contributor.authorRizzatti, Gianenrico
dc.contributor.authorGalasso, Domenico
dc.contributor.authorBarbera, Carmelo
dc.contributor.authorDi Matteo, Francesco Maria
dc.contributor.authorStigliano, Serena
dc.contributor.authorBinda, Cecilia
dc.contributor.authorFabbri, Carlo
dc.contributor.authorPham, Khanh Do-Cong
dc.contributor.authorDi Mitri, Roberto
dc.contributor.authorAmata, Michele
dc.contributor.authorCrino, Stefano Francesco
dc.contributor.authorOfosu, Andrew
dc.contributor.authorDe Luca, Luca
dc.contributor.authorAl- Lehibi, Abed
dc.contributor.authorAuriemma, Francesco
dc.contributor.authorPaduano, Danilo
dc.contributor.authorCalabrese, Federica
dc.contributor.authorGentile, Carmine
dc.contributor.authorHassan, Cesare
dc.contributor.authorRepici, Alessandro
dc.contributor.authorFacciorusso, Antonio
dc.date.accessioned2025-07-09T11:26:23Z
dc.date.available2025-07-09T11:26:23Z
dc.date.issued2024-10
dc.description.abstractBACKGROUND AND STUDY AIMS : Although outcomes of lumen-apposing metal stents (LAMS) placement in native anatomy have been reported, data on LAMS placement in surgically altered anatomy (SAA) are sparse. We aimed to assess outcomes of LAMS placement in patients with SAA for different indications. PATIENTS AND METHODS : This was an international, multicenter, retrospective, observational study at 25 tertiary care centers through November 2023. Consecutive patients with SAA who underwent LAMS placement were included. The primary outcome was technical success defined as correct placement of LAMS. Secondary outcomes were clinical success and safety. RESULTS : Two hundred and seventy patients (125 males; average age 61 ± 15 years) underwent LAMS placement with SAA. Procedures included EUS-directed transgastric ERCP (EDGE) and EUS-directed transenteric ERCP (EDEE) (n = 82), EUS-guided entero-enterostomy (n = 81), EUS-guided biliary drainage (n = 57), EUS-guided drainage of peri-pancreatic fluid collections (n = 48), and EUS-guided pancreaticogastrostomy (n = 2). Most cases utilized AXIOS stents (n = 255) compared with SPAXUS stents (n = 15). Overall, technical success was 98%, clinical success was 97%, and the adverse event (AE) rate was 12%. Using AGREE classification, five events were rated as Grade II, 21 events as Grade IIIa, and six events as IIIb. No difference in AEs were noted among stent types ( P = 0.52). CONLUSIONS : This study shows that placement of LAMS is associated with high technical and clinical success rates in patients with SAA. However, the rate of AEs is noteworthy, and thus, these procedures should be performed by expert endoscopists at tertiary centers.
dc.description.departmentImmunology
dc.description.librarianam2025
dc.description.sdgSDG-03: Good health and well-being
dc.description.urihttps://www.thieme-connect.com/products/ejournals/journal/10.1055/s-00025476
dc.identifier.citationMangiavillano, B., Ramai, D., Kahaleh, M. et al. 2024, 'Outcomes of lumen apposing metal stent placement in patients with surgically altered anatomy : multicenter international experience', Endoscopy International Open, vol. 12, pp. E1143-1149. DOI 10.1055/a-2411-1814
dc.identifier.issn2364-3722 (print)
dc.identifier.issn2196-9736 (online)
dc.identifier.other10.1055/a-2411-1814
dc.identifier.urihttp://hdl.handle.net/2263/103257
dc.language.isoen
dc.publisherThieme Gruppe
dc.rights© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License.
dc.subjectEndoscopy lower GI tract
dc.subjectStenting
dc.subjectEndoscopy small bowel
dc.subjectEndoscopic ultrasonography
dc.subjectSurgically altered anatomy (SAA)
dc.subjectLumen-apposing metal stents (LAMS)
dc.titleOutcomes of lumen apposing metal stent placement in patients with surgically altered anatomy : multicenter international experience
dc.typeArticle

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